HIV Incidence Among Women in Sub-Saharan Africa: A Time Trend Analysis of the 2000–2017 Period

Soto‐Ruiz, Nelia; Arregui-Azagra, Adriana; Martín-Rodríguez, Leticia San; Elizalde-Beiras, Itsaso; Saralegui-Gainza, Amaia; Escalada-Hernández, Paula

doi:10.1097/jnc.0000000000000254

J Assoc Nurses AIDS Care

2021

DOI: 10.1097/jnc.0000000000000254

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HIV Incidence Among Women in Sub-Saharan Africa: A Time Trend Analysis of the 2000–2017 Period

Nelia Soto‐Ruiz

Adriana Arregui-Azagra

Leticia San Martín-Rodríguez

et al.

Abstract: The aim of this study was to use data from the United Nations Global Indicators Database to analyze the trends in the HIV incidence rate among women in sub-Saharan African countries between 2000 and 2017. The HIV incidence rate is defined as the number of new HIV infections per 1,000 uninfected population, aged 15 to 49 years old. Joinpoint regression analysis was applied to identify periods when there were significant changes in the HIV incidence rate. The results show that there was a global decrease trend i… Show more

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Cited by 2 publications

References 19 publications

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Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa

Garcia

Roberts²,

Mayo³

et al. 2022

AIDS Behav

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HIV and gender-based violence (GBV) are syndemic in sub-Saharan Africa and provision of support for participants who disclose GBV constitutes part of comprehensive care. Consequently, a process was undertaken to develop, implement, and evaluate standard operating procedures (SOPs) in MTN-025/HOPE, a study of the dapivirine vaginal ring for HIV prevention. The SOP was developed using needs assessment surveys in addition to World Health Organization (WHO) guidelines and other literature. Sites tailored and implemented the SOP through HOPE implementation. At study end, staff reported increased training 32/35 (91.43%); improved confidence (18/26; 69.23%); and improved vicarious trauma prevention onsite (17/28; 60.71%). Leadership reported increased staff competence in GBV response. Obstacles included limited referral organizations and time for follow-up, continued training needs, and cultural norms. Development and implementation of an SOP is a feasible strategy to build a GBV response to improve health systems and support sustained effective use of HIV prevention products.

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Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa

Garcia

Roberts²,

Mayo³

et al. 2022

AIDS Behav

View full text Add to dashboard Cite

show abstract

Polygamy and safe sex negotiation among married women: evidence from Cameroon

Dhillon,

Amoak,

Chidimbah Munthali

et al. 2023

BMC Infect Dis

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Background Research indicates that women in polygamous relationships may be exposed to unique sexual and reproductive health challenges. However, there are very few studies that examine whether polygamy is associated with safe sex negotiation among married women in sub-Saharan Africa, including Cameroon. Methods Using the 2018 Cameroon Demographic and Health Survey, we apply logistic regression analysis to compare two indicators of safe sex negotiation (i.e., the ability to ask for condom use and refuse sex against their partner) between polygamous (n = 1,628) and monogamous (n = 5,686) women aged 15–49 years old. Results We find that 67% and 50% of married women can ask for condom use and refuse sex against their partner, respectively. Multivariate analysis further reveals that women in polygamous relationships are less likely to report they can ask for condom use (OR = 0.71, p < 0.001) and refuse sex (OR = 0.64, p < 0.001) in comparison to their monogamous counterparts. Conclusions Our analysis found that in Cameroon, women in polygamous relationships, Muslim women, married women with inadequate HIV knowledge, those who had never been tested for HIV and women with lower socioeconomic status are less likely to negotiate for safe sex. Based on these findings, we discuss several implications for policymakers, including the establishment of a comprehensive family planning educational program and the deployment of community health workers to disseminate educational initiatives pertaining to safe sex negotiation to community members.

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HIV Incidence Among Women in Sub-Saharan Africa: A Time Trend Analysis of the 2000–2017 Period

Cited by 2 publications

References 19 publications

Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa

Integrating Gender-Based Violence Screening and Support into the Research Clinic Setting: Experiences from an HIV Prevention Open-Label Extension Trial in Sub-Saharan Africa

Polygamy and safe sex negotiation among married women: evidence from Cameroon

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